DR. MOHAMED BASHAR MAMLOUK (MD) – Cardiovascular Disease Physician, NPI 1306805304

DR. MOHAMED BASHAR MAMLOUK (MD) is a healthcare provider. based in North olmsted, Ohio. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 35-038540 (OH). The NPI Number for DR. MOHAMED BASHAR MAMLOUK (MD) is 1306805304

Main info

Male
Sole Proprietor
55 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMED BASHAR MAMLOUK (MD)
NPI
1306805304
Phone
(440) 274-5035
Address
30701 LORAIN RD STE A
Enumeration Date
20 March 2006
Last Update Date
13 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4403562715
Graduation Year
1971 (55 years ago)
PAC ID
1254351794
Professional Enrollment ID
I20101230000000
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. MOHAMED BASHAR MAMLOUK (MD)

  • 30701 LORAIN RD STE A

    NORTH OLMSTED, OH 440706325

    Phone: (440) 274-5035

    Fax: (440) 716-8608

    Type: Mailing

  • 20455 LORAIN RD STE 104B

    FAIRVIEW PARK, OH 441263529

    Phone: (440) 356-2715

    Fax: (440) 356-6978

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101230000000ICardiovascular Disease (Cardiology)OHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44070)

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Provider's Procedures

DR. MOHAMED BASHAR MAMLOUK (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)OH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1193823

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Frequently asked questions

Does DR. MOHAMED BASHAR MAMLOUK (MD) have a public NPI I can cite?
Public records show DR. MOHAMED BASHAR MAMLOUK (MD) under NPI 1306805304.
Does the public listing show DR. MOHAMED BASHAR MAMLOUK (MD) as active?
DR. MOHAMED BASHAR MAMLOUK (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. MOHAMED BASHAR MAMLOUK (MD)?
NPPES ties DR. MOHAMED BASHAR MAMLOUK (MD) to Cardiovascular Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MOHAMED BASHAR MAMLOUK (MD)?
The directory associates DR. MOHAMED BASHAR MAMLOUK (MD) with North Olmsted, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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